| NPI | 1013346519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN VERONICA SUJAK Office Manager 630-261-9220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 25082) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2013-11-05 |